FDA Adverse Event Injury Summary report: N

SLENDETONE FACE

MDR report key: 5403568 · Received February 2, 2016

Report

Report Number
8020867-2015-00016
Event Type
Injury
Date Received
February 2, 2016
Date of Event
October 15, 2012
Report Date
October 22, 2012
Manufacturer
BIO-MEDICAL RESEARCH LTD
Product Code
NGX
PMA / PMN Number
K103031
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS TESTED AND NO FAULT WAS FOUND. CONSUMERS ORAL SURGEON COULD DID NOT CONFIRM THE DEVICE AS THE CAUSE OF HER INJURY. (B)(6) MD AND BMRS TECHNICAL DIRECTOR REVIEWED THE EVIDENCE AND CONCLUDED THE DEVICE WAS TESTED AND IS WORKING NORMALLY AND THAT THERE WAS NO CAUSAL LINK BETWEEN THE USE OF THE SLENDERTONE DEVICE AND THE REPORTED EVENT. UPON RETROSPECTIVE REVIEW, THIS ISSUE WAS DETERMINED TO BE REPORTABLE AS AN MDR

Description of Event or Problem · 1

CONSUMER BOUGHT HER FACE UNIT IN (B)(6) 2011. SHE REPORTED IN (B)(6) 2012 THE INTENSITY OF HER FACE UNIT WAS VERY WEAK AND SHE WAS PROVIDED WITH A REPLACEMENT. SHE LATER REPORTED THE INTENSITY IN THE REPLACEMENT UNIT WAS ALSO WEAK AND REQUESTED A REFUND. WHILE THE RETURNED UNIT WAS BEING TESTED, THE CONSUMER CONTACTED THE CALL CENTRE TO STATE SHE WANTED A REFUND AND NOT A REPLACEMENT. SHE ALSO STATED SHE HAD AN ACHE IN HER JAW AND IT WAS PAINFUL TO EAT. THE CONSUMER WAS REFUNDED. SHE LATER CONTACTED BMR AGAIN TO SAY SHE HAD BEEN UNABLE TO EAT PROPERLY AND HER ORTHOPEDIC SURGEON COULD FIND A REPRODUCIBLE CLICK COMING FROM THE RIGHT TEMPORO-MANDIBULAR JOINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
62511 SLENDETONE FACE POWERED MUSCLE STIMULATOR NGX BIO-MEDICAL RESEARCH LTD 371

Patients

Seq Age Sex Outcome Treatment
1 Other